Provider Demographics
NPI:1992573505
Name:ROCKY MOUNTAIN PHYSICAL THERAPY INC,
Entity type:Organization
Organization Name:ROCKY MOUNTAIN PHYSICAL THERAPY INC,
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRACTICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JULIE
Authorized Official - Middle Name:
Authorized Official - Last Name:SWANSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:970-689-3236
Mailing Address - Street 1:470 JOHNSON RD STE 100
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:PA
Mailing Address - Zip Code:15301-8944
Mailing Address - Country:US
Mailing Address - Phone:970-689-3236
Mailing Address - Fax:970-460-0136
Practice Address - Street 1:1307 E PROSPECT RD STE 120
Practice Address - Street 2:
Practice Address - City:FORT COLLINS
Practice Address - State:CO
Practice Address - Zip Code:80525-1191
Practice Address - Country:US
Practice Address - Phone:970-689-3236
Practice Address - Fax:970-460-0136
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-12-13
Last Update Date:2023-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies